BALESTRIERI PSYCHOLOGICAL SERVICES, P.C.


Address: 11600 Wilshire Blvd, Suite 412, Los Angeles, CA 90025-5781
Phone: 3109931664

BALESTRIERI PSYCHOLOGICAL SERVICES, P.C. (NPI# 1376092213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376092213
Entity Type Organization
Organization Name BALESTRIERI PSYCHOLOGICAL SERVICES, P.C.
Other Organization Name TRIUNE THERAPY GROUP
Practice Address 11600 Wilshire Blvd
Suite 412
Los Angeles
CA 90025-5781
Practice Telephone 3109931664
Enumeration Date 2016-10-03
Last Update Date 2016-10-03
Authorized Official Name DR. CATHERINE BALESTRIERI (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3109931664
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY 26249 CA Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Triune Therapy Group Doing Business As Name - Organization

Office Location

Street Address 11600 WILSHIRE BLVD
SUITE 412
City LOS ANGELES
State CA
Zip Code 90025-5781

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1871979013 Anna Kreymer Dentist 11600 Wilshire Blvd, Suite 10, Los Angeles, CA 90025-5781 2015-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1245852599 Maureen Bridget Mcglynn Marriage & Family Therapist 1531 Purdue Avenue, Los Angeles, CA 90025 2020-05-09
1578118857 Gregory J Bogie Physical Therapist 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 2019-08-05
1518527712 David Allen Goldstein Marriage & Family Therapist 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 2019-06-19
1386104875 Kevin Meir Youssefzadeh Student in an Organized Health Care Education/Training Program 304 Dowlen Dr, Los Angeles, CA 90025 2019-03-21
1336609189 Psychotherapy Center for Healing and Personal Growth Psychologist 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 2019-03-20
1477028819 Flora Ma Nurse Practitioner 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 2018-10-12
1457834285 Yeesul Yoo Chiropractor 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 2018-09-07
1902387160 Angelica Carmen Regalado Behavior Technician 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 2018-08-26
1033603378 Craig Allen Gillett Marriage & Family Therapist 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 2018-06-20
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1700404647 Joshua Lawrence Mirmelli Psychologist 11340 W Olympic Blvd Ste 305, Los Angeles, CA 90064-1630 2020-07-08
1740820240 Aaron Efron Berger Psychologist 11980 San Vicente Blvd Ste 710, Los Angeles, CA 90049-6605 2020-01-13
1538715743 Nicole Hayes Psychologist Ucla John Wooden West #9511556, Los Angeles, CA 90095-0001 2019-08-13
1992360853 Barry Bernfeld Psychologist 10530 Santa Monica Blvd, Los Angeles, CA 90025-4951 2019-05-07
1700362449 Noah Laracy Psychologist 1810 S Beverly Drive, Suite 401, Los Angeles, CA 90035-1156 2018-07-16
1386139087 Acacia Psychological Corporation Psychologist 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 2018-06-25
1164911418 William James Coburn Psychologist 12011 San Vicente Blvd Ste 300, Los Angeles, CA 90049-4945 2018-05-02
1932603081 Adam Wiswell Psychologist 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 2018-03-22
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Competitor

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City LOS ANGELES
Zip Code 90025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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